| NPI | 1861924466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 062688) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03749400) |
| Enumeration Date | 2017-04-01 |
| Last Update Date | 2020-03-02 |